Oh Sunyoung, Gu Minkyung, Sok Sohyune
Department of Nursing, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Department of Nursing, College of Health Science, Daejin University, Pocheon-si, Gyeonggi-do, Republic of Korea.
BMC Nurs. 2025 Jan 3;24(1):2. doi: 10.1186/s12912-024-02596-3.
A hospital nurse's clinical decision-making ability is an important core competency that identifies and solves patient problems in nursing practice. This study aimed to develop a Korean clinical decision-making scale for hospital nurses, and verify its validity and reliability.
A methodological design that develops a scale was used. A total of 71 Preliminary items on clinical decision-making of hospital nurses were selected using concept validity analysis of and expert opinion on 51 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 371 nurses who in direct nursing and decision-making. The collected data were analyzed using exploratory factor analysis and confirmative factor analysis with SPSS 23.0 and AMOS 24.0 program.
Exploratory factor analysis was performed with principal axis factor analysis and Varimax rotation. Nine factors that accounted for 65.5% of the total variance were identified by deleting the items that not meet the condition that the commonality should be 0.30 or more and the factor loading over 0.50. The correlation coefficient between this scale and the Jenkins' clinical decision-making perception scale was r = 0.70 (p < 0.001), which determined concurrent validity. The internal consistency for the scale was Cronbach's α = 0.84, and this was developed with a total of 36 items.
A Korean clinical decision-making ability scale for hospital nurses was developed consisting of nine factors and 36 items with a five-point Likert. The Korean clinical decision-making ability scale for hospital nurses can measure clinical decision-making ability from various aspects that were not previously reflected.
医院护士的临床决策能力是护理实践中识别和解决患者问题的一项重要核心能力。本研究旨在开发一套针对医院护士的韩国临床决策量表，并验证其有效性和可靠性。
采用量表开发的方法学设计。通过对文献回顾和定性访谈得出的51个候选条目进行概念效度分析和专家意见，共选取了71个关于医院护士临床决策的初步条目。我们对371名从事直接护理和决策工作的护士进行了问卷调查。使用SPSS 23.0和AMOS 24.0程序对收集到的数据进行探索性因素分析和验证性因素分析。
采用主轴因子分析和方差最大化旋转进行探索性因素分析。通过删除共性应达到0.30或更高且因子载荷超过0.50这一条件不满足的条目，确定了占总方差65.5%的九个因素。该量表与詹金斯临床决策感知量表的相关系数为r = 0.70（p < 0.001），确定了同时效度。该量表的内部一致性为Cronbach's α = 0.84，共由36个条目组成。
开发了一套针对医院护士的韩国临床决策能力量表，由九个因素和36个采用五点李克特量表的条目组成。该韩国医院护士临床决策能力量表能够从以前未体现的各个方面测量临床决策能力。
